Spec,Legal Compl/QA/MedMal
Albuquerque, NM 
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Posted 20 days ago
Job Description
Requisition ID req28745 Working Title Spec,Legal Compl/QA/MedMal Position Grade 13 Position Summary

Within the Office of University Counsel, plans, develops, and implements strategies for achieving and maintaining compliance with university goals associated with settlement agreements, corrective action plans and other components of the McClendon vs. City of Albuquerque litigation as related to the patient care provided at the UNMH Metropolitan Detention Center Clinic.

Provides guidance and expert interpretation regarding the UNMH MDC Clinic's compliance with its contract with the Metropolitan Detention Center Health Care Authority. Timely compiles data and prepares monthly and ad hoc reports evidencing the UNMH MDC Clinic's efforts toward compliance with goals. Assists in drafting and implementation of policies and quality assurance audit tools designed to assure achievement of compliance with goals. Investigates and evaluates complex and severe claims, primarily related to medical malpractice. Participates in all aspects of claim file management, under the direction of a claims attorney, including data gathering, investigation, and development of claim summaries and timelines. Prepares and maintains appropriate documentation in applicable databases and information systems. Prepares claim reports and communicates updated claims information to health system entities, as directed. Supports overall mission of the UNMH MDC Clinic operations.

The monthly salary range for this position of $6,250.00 to $7,292.00 includes a salary determined by UNM's salary structure, and an additional salary amount in recognition of this position's primary work location at the Albuquerque Metropolitan Detention Center.

Conditions of Employment
  • Must be employment eligible as verified by the U.S. Dept. of Health and Human Services Office of Inspector General (OIG) and the Government Services Administration (GSA).
  • Must successfully meet and maintain the minimum background requirements necessary to work within the MDC.
Minimum Qualifications

Bachelor's degree; at least 4 years of experience directly related to the duties and responsibilities specified.

Completed degree(s) from an accredited institution that are above the minimum education requirement may be substituted for experience on a year for year basis.

Preferred Qualifications
  • Knowledge of complex Healthcare Systems & Processes
  • Quality/Performance Improvement.
  • Clinical Healthcare experience
  • Project Management experience
Additional Requirements Campus Health Sciences Center (HSC) - Albuquerque, NM Department University Counsel Office (213A) Employment Type Staff Staff Type Regular - Full-Time Term End Date Status Exempt Pay Monthly: $6,250.00 - $7,292.00 Benefits Eligible This is a benefits eligible position. The University of New Mexico provides a comprehensive package of benefits including medical, dental, vision, and life insurance. In addition, UNM offers educational benefits through the tuition remission and dependent education programs. See the home page for a more information. ERB Statement As a condition of employment, eligible employees working greater than .25 FTE as determined by the New Mexico Education Retirement Act must make mandatory retirement contributions. For more information, review the grid. Background Check Required Yes For Best Consideration Date 3/15/2024 Eligible for Remote Work Yes Eligible for Remote Work Statement Occasional remote work may be possible for this position in the future. Application Instructions

Only applications submitted through the official UNMJobs site will be accepted. If you are viewing this job advertisement on a 3rd party site, to submit an application.

Please attach the following. 1) Resume 2) Cover Letter 3) References of three individuals who have supervised you. These individuals will be contacted prior to an offer being issued.

Positions posted with a Staff Type of Regular or Term are eligible for the Veteran Preference Program. See the for additional details.

The University of New Mexico is committed to hiring and retaining a diverse workforce. We are an Equal Opportunity Employer, making decisions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, veteran status, disability, or any other protected class.

The University of New Mexico requires all regular staff positions successfully pass a pre-employment background check. This may include, but is not limited to, a criminal history background check, New Mexico Department of Health fingerprint screening, New Mexico Children, Youth, and Families Department fingerprint screening, verification of education credentials, and/or verification of prior employment. For more information about background checks, visit . Refer to for a definition of Regular Staff.

 

Job Summary
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Salary and Benefits
Monthly: $6,250.00 - $7,292.00
Required Education
Bachelor's Degree
Required Experience
4+ years
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